1. A married couple has two biologic children who live with them as well as a child from the wifes first
marriage. What type of family is evident?
a. Homogeneous
c. Blended
b. Extended
d. Nuclear ✔️c. Blended
A blended family is made up of members from two or more unrelated families. It is not a nuclear family
because a stepchild is present. It is not an extended family, because there are only two generations
present. Homogeneous is not a family type.
PTS: 1 DIF: Cognitive Level: Understand (Comprehension)
REF: Page 620 TOP: Nursing Process: Assessment
MSC: Client Needs: Health Promotion and Maintenance
2. A married couple has two children living in the home. Recently, the wifes mother moved in. This
family should be assessed as:
a. nuclear.
c. extended.
b. blended.
,d. alternative. ✔️c. extended.
An extended family has members from three or more generations living together. Nuclear family refers
to a couple and their children. A blended family is one made up of members from two or more
unrelated families. An alternative family can consist of a same-sex couple or an unmarried couple and
children.
PTS: 1 DIF: Cognitive Level: Understand (Comprehension)
REF: Page 620 TOP: Nursing Process: Assessment
MSC: Client Needs: Health Promotion and Maintenance
3. When a nurse assesses a family, which family task has the highest priority for healthy family
functioning?
a. Allocation of family resources
c. Maintenance of order and authority
b. Physical maintenance and safety
d. Reproduction of new family members ✔️b. Physical maintenance and safety
Physical and safety needs have greater importance in Maslows hierarchy than other needs.
PTS: 1 DIF: Cognitive Level: Apply (Application)
REF: Page 620 TOP: Nursing Process: Assessment
, MSC: Client Needs: Health Promotion and Maintenance
4. Which documentation of family assessment indicates a healthy and functional family?
a. Members provide mutual support.
b. Power is distributed equally among all members.
c. Members believe there are specific causes for events.
d. Under stress, members turn inward and become enmeshed. ✔️a. Members provide mutual support.
Healthy families nurture and support their members, buffer against stress, and provide stability and
cohesion. The distracters are unrelated or incorrect.
PTS: 1 DIF: Cognitive Level: Understand (Comprehension)
REF: Page 620-621 TOP: Nursing Process: Assessment
MSC: Client Needs: Health Promotion and Maintenance
5. A 15-year-old is hospitalized after a suicide attempt. This adolescent lives with the mother,
stepfather, and several siblings. When performing a family assessment, the nurse must first determine:
a. how the family expresses and manages emotion.
b. names and relationships of the familys members.